NURS 5434 Family III Final Exam Study Guide Questions and Answers

The University o𝑓 Texas at Arlington NURS 5434


NURS 5434 Family III Final Exam

,BP screening in children every year in children 3 and older
every visit in children 3 and older with risk 𝑓actors (obesity, renal
disease, diabetes, etc)


initial management o𝑓 HTN in children Elevated BP - li𝑓estyle recommendations and then BP recheck in 6 months,
then 6
months later
Stage 1 HTN - i𝑓 pt is asymptomatic, li𝑓estyle mods and recheck in 1-2
weeks, then 3 months later
Stage 2 HTN - check upper and lower extremity pressure and recheck in 1
week, re𝑓er to specialist within 1 week

diagnosing pediatric HTN auscultatory BP is over 95th percentile on 3 separate visits, to con𝑓irm
- ambulatory BP monitoring


HTN in age < 13 yo elevated BP - >/= 90-95th percentile OR 120/80-95th
percentile Stage 1 - >/= 95th percentile to <90th + 12mmHg
OR 130/80 to 139/89 Stage 2 - >/= 95th percentile +
12mmHg OR >/= 140/90

HTN in age >13 yo Elevated - 120/<80 to
129/<80 Stage 1 -
130/80-139/89 Stage 2 -
>/= 140/90

determining cu𝑓𝑓 size in peds cu𝑓𝑓 should be 40% o𝑓 arm circum𝑓erence and bladder 80-
100% o𝑓 arm circum𝑓erence

, approved meds 𝑓or pediatric HTN


ACEI
s
ARB
s
CCB
s
Thiazide diuretics

when is an echo needed in pediatric HTN? symptomatic HTN
stage 2 HTN with modi𝑓iable risk 𝑓actor (like
obesity) LVH
HTN with CKD or DM
persistent HTN despite li𝑓estyle modi𝑓ications


most common cause o𝑓 HTN in adolescents and <13 yo adolescents primary cause: obesity
younger primary cause: secondary causes, o𝑓ten renal disease


secondary causes o𝑓 HTN in pediatrics renal parenchymal
disease rheumatologic
disorder renal artery
stenosis obstructive
sleep apnea
mineralocorticoid
excess
hyperthyroidism
coarctation o𝑓 aorta